Fire Blanket Inspection Checklist Form
Complete this form to document the inspection of a fire blanket for safety compliance.
Fire blanket identification number
*
Location of fire blanket
*
Date of inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is the fire blanket easily accessible?
*
Yes
No
Is the fire blanket clearly signposted?
*
Yes
No
Condition of fire blanket container
*
Good
Damaged
Missing parts
Condition of fire blanket
*
Good
Frayed or damaged
Contaminated
Has the fire blanket been serviced within the last 12 months?
*
Yes
No
Not sure
Inspector name
*
First Name
Last Name
Additional comments or actions required
Submit Inspection
Should be Empty: